JP2017500934A - 心不全を予測するための装置 - Google Patents

心不全を予測するための装置 Download PDF

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Publication number
JP2017500934A
JP2017500934A JP2016536595A JP2016536595A JP2017500934A JP 2017500934 A JP2017500934 A JP 2017500934A JP 2016536595 A JP2016536595 A JP 2016536595A JP 2016536595 A JP2016536595 A JP 2016536595A JP 2017500934 A JP2017500934 A JP 2017500934A
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JP
Japan
Prior art keywords
signal
trend
physiological
signal trend
circuit
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JP2016536595A
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English (en)
Japanese (ja)
Inventor
アン、キ
ヒラシン タクール、プラモドシン
ヒラシン タクール、プラモドシン
エイ． アヴェリナ、ヴィクトリア
エイ． アヴェリナ、ヴィクトリア
エイ． トンプソン、ジュリー
エイ． トンプソン、ジュリー
ジェイ． スウィーニー、ロバート
ジェイ． スウィーニー、ロバート
Original Assignee
カーディアック ペースメイカーズ， インコーポレイテッド
カーディアック ペースメイカーズ， インコーポレイテッド
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Publication of JP2017500934A publication Critical patent/JP2017500934A/ja
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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/0205—Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
    • A61B5/02055—Simultaneously evaluating both cardiovascular condition and temperature
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7235—Details of waveform analysis
    • A61B5/7239—Details of waveform analysis using differentiation including higher order derivatives
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
    • A61B5/1116—Determining posture transitions
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
    • A61B5/1118—Determining activity level
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/145—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue
    • A61B5/14542—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue for measuring blood gases
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/48—Other medical applications
    • A61B5/4842—Monitoring progression or stage of a disease
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7235—Details of waveform analysis
    • A61B5/7253—Details of waveform analysis characterised by using transforms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7271—Specific aspects of physiological measurement analysis
    • A61B5/7275—Determining trends in physiological measurement data; Predicting development of a medical condition based on physiological measurements, e.g. determining a risk factor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7271—Specific aspects of physiological measurement analysis
    • A61B5/7282—Event detection, e.g. detecting unique waveforms indicative of a medical condition
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B7/00—Instruments for auscultation
    • A61B7/02—Stethoscopes
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/67—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/30—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for calculating health indices; for individual health risk assessment
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/021—Measuring pressure in heart or blood vessels
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/024—Detecting, measuring or recording pulse rate or heart rate
    • A61B5/02405—Determining heart rate variability
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves 
    • A61B5/053—Measuring electrical impedance or conductance of a portion of the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves 
    • A61B5/053—Measuring electrical impedance or conductance of a portion of the body
    • A61B5/0535—Impedance plethysmography
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/08—Detecting, measuring or recording devices for evaluating the respiratory organs
    • A61B5/0816—Measuring devices for examining respiratory frequency
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362—Heart stimulators
    • A61N1/3627—Heart stimulators for treating a mechanical deficiency of the heart, e.g. congestive heart failure or cardiomyopathy

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Medical Informatics (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Physics & Mathematics (AREA)
  • Pathology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Molecular Biology (AREA)
  • Biophysics (AREA)
  • Physiology (AREA)
  • Computer Vision & Pattern Recognition (AREA)
  • Artificial Intelligence (AREA)
  • Psychiatry (AREA)
  • Signal Processing (AREA)
  • Cardiology (AREA)
  • Primary Health Care (AREA)
  • Epidemiology (AREA)
  • Dentistry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Business, Economics & Management (AREA)
  • Data Mining & Analysis (AREA)
  • Databases & Information Systems (AREA)
  • General Business, Economics & Management (AREA)
  • Acoustics & Sound (AREA)
  • Pulmonology (AREA)
  • Optics & Photonics (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
  • Electrotherapy Devices (AREA)
JP2016536595A 2013-12-06 2014-11-20 心不全を予測するための装置 Pending JP2017500934A (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201361912588P 2013-12-06 2013-12-06
US61/912,588 2013-12-06
PCT/US2014/066544 WO2015084595A1 (fr) 2013-12-06 2014-11-20 Appareil pour prédire une insuffisance cardiaque

Publications (1)

Publication Number Publication Date
JP2017500934A true JP2017500934A (ja) 2017-01-12

Family

ID=52014410

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2016536595A Pending JP2017500934A (ja) 2013-12-06 2014-11-20 心不全を予測するための装置

Country Status (6)

Country Link
US (1) US20150157221A1 (fr)
EP (1) EP3076853A1 (fr)
JP (1) JP2017500934A (fr)
CN (1) CN105792739A (fr)
AU (1) AU2014357581B2 (fr)
WO (1) WO2015084595A1 (fr)

Families Citing this family (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP3113674A1 (fr) 2014-03-07 2017-01-11 Cardiac Pacemakers, Inc. Détection multiniveau d'événement d'insuffisance cardiaque
EP3355985B1 (fr) * 2015-10-02 2020-11-25 Cardiac Pacemakers, Inc. Prédictions d'aggravation d'insuffisance cardiaque
CN108367152B (zh) * 2015-10-08 2021-08-31 心脏起搏器股份公司 使用心音检测恶化的心力衰竭事件
EP4098319B1 (fr) 2015-10-26 2024-01-10 Cardiac Pacemakers, Inc. Stimulation cardiaque à base de capteurs multiples
JP6734391B2 (ja) 2016-04-01 2020-08-05 カーディアック ペースメイカーズ， インコーポレイテッド 心臓悪化イベントを検出するためのシステム
US10952681B2 (en) * 2017-09-05 2021-03-23 Medtronic, Inc. Differentiation of heart failure risk scores for heart failure monitoring
CN108169340B (zh) * 2017-12-18 2019-06-21 中国船舶科学研究中心（中国船舶重工集团公司第七0二研究所） 一种机电一体式低频声发射换能器
CN108523877B (zh) * 2018-03-23 2021-02-09 南京中医药大学 一种心电信号质量辨识方法及其心电分析方法

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20040267142A1 (en) * 2003-06-25 2004-12-30 Cardiac Pacemakers, Inc. Method and apparatus for trending a physiological cardiac parameter
US20080119749A1 (en) * 2006-11-20 2008-05-22 Cardiac Pacemakers, Inc. Respiration-synchronized heart sound trending
US20110166472A1 (en) * 2008-08-29 2011-07-07 Bjoerling Anders Implantable medical device and method for such a device for predicting hf status of a patient
JP2012532668A (ja) * 2009-07-10 2012-12-20 カーディアック ペースメイカーズ， インコーポレイテッド 心不全の早発性の悪化を検出する呼吸数トレンド分析

Family Cites Families (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6454719B1 (en) * 2000-08-01 2002-09-24 Pacesetter, Inc. Apparatus and method for diagnosis of cardiac disease using a respiration monitor
EP2537107B1 (fr) * 2010-02-16 2019-05-15 Cardiac Pacemakers, Inc. Cinétique de réponse physiologique à une activité pendant des activités de la vie quotidienne
EP2534597B1 (fr) * 2010-03-15 2018-10-17 Singapore Health Services Pte Ltd Procédé de prédiction de la capacité de survie d'un patient
US8868168B2 (en) * 2010-11-11 2014-10-21 Siemens Medical Solutions Usa, Inc. System for cardiac condition characterization using electrophysiological signal data

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20040267142A1 (en) * 2003-06-25 2004-12-30 Cardiac Pacemakers, Inc. Method and apparatus for trending a physiological cardiac parameter
JP2007524462A (ja) * 2003-06-25 2007-08-30 カーディアック・ペースメーカーズ・インコーポレーテッド 生理学的心臓パラメータをトレンド把握するための方法及び装置
US20080119749A1 (en) * 2006-11-20 2008-05-22 Cardiac Pacemakers, Inc. Respiration-synchronized heart sound trending
US20110166472A1 (en) * 2008-08-29 2011-07-07 Bjoerling Anders Implantable medical device and method for such a device for predicting hf status of a patient
JP2012532668A (ja) * 2009-07-10 2012-12-20 カーディアック ペースメイカーズ， インコーポレイテッド 心不全の早発性の悪化を検出する呼吸数トレンド分析

Also Published As

Publication number Publication date
CN105792739A (zh) 2016-07-20
EP3076853A1 (fr) 2016-10-12
AU2014357581B2 (en) 2017-03-16
WO2015084595A1 (fr) 2015-06-11
AU2014357581A1 (en) 2016-07-07
US20150157221A1 (en) 2015-06-11

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